311272 05/09/11 CITY OF CARMEL, INDIANA VENDOR: 120301 ,
ONE CIVIC SQUARE HAMILTON COUNTY TREASURER CHECK AMOUNT: $ 10,422.29`
=4; CARMEL, INDIANA 46032 C/O HAMILTON CO AUDITOR CHECK NUMBER: 311272
1 HAMILTON COUNTY SQUARE CHECK DATE: 05/09/17
NOBLESVILLE IN 46060
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 APRIL 10,422.29 OTHER EXPENSES
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PRESCRIBED BY STATE BOARD OF ACCOUNTS CITY AND TOWN FORM 217 CT(1997)
REPORT TO COUNTY AUDITOR OF COURT COSTS
COLLECTED IN CITY/TOWN COURT
To the Auditor of Hamilton County, Indiana
I, Christine Pauley, City Officer of the City of Carmel, Indiana, hereby certify that I have received the
following amounts of the court costs payable to the County:
For the month ending APRIL, 2017.
ITEMIZATION COLLECTIONS PRIOR YEAR TO DATE
THIS PERIOD COLLECTIONS
$10,422.29 $35,704.01 $46,126.30
COURT COSTS:
TOTAL AMOUNT COLLECTED $10,422.29 $35,704.01 $46,126.30
Dated , 2017
City Fiscal Officer
NOTE—Mail To:
Hamilton County Auditor
One Hamilton County Square
Noblesville, IN 46060
(Make check payable to Hamilton County Treasurer)